Advances in reduced port laparoscopic liver resection

Ban, Daisuke; Kudo, Atsushi; Irie, Tetsumi; Ochiai, Takanori; Aihara, Arihiro; Matsumura, Satoshi; Tanaka, Shinji; Tanabe, Minoru

doi:10.1111/ases.12164

Cited by 15 publications

(8 citation statements)

References 29 publications

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“…9 Recently, liver resection has been attempted with SILS. [10][11][12] Although the use of SILS is becoming widespread, technical difficulty has delayed its adoption for surgical cases.…”

Section: Discussionmentioning

confidence: 99%

Initial Experience with Single Incision Laparoscopic Appendectomy by Surgical Resident

Choi

2018

J Minim Invasive Surg

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Purpose: Laparoscopic appendectomy (LA) is a popular procedure for acute appendicitis. Its minimally invasive nature has made LA a commonly performed surgical technique for surgical residents. However, single incision laparoscopic surgery (SILS) poses a challenge to inexperienced surgical residents. We described our initial experience in teaching SILS for appendectomy in our medical center. Methods: Twenty nine cases of SILA were performed by single surgical resident and 110 cases of LA were performed by four surgical residents and five board-certified surgeons. Data were reviewed retrospectively. Results: The mean SILA and multi-port laparoscopic appendectomy (MLA) operative time was 44.5±14 min (range 25~85 min) and 74.8±26 min (range 20~125 min), respectively. The shorter time for SILA was significant (p<0.05). Postoperative hospital stay was 3.3±1.6 days (range 2~6 days) following SILA and 4.0±2.9 days (range 2~12 days) following MLA (p<0.05). Three cases of wound infection developed following SILA. Complications in the MLA patients included one cases each of operative bladder injury and postoperative ileus. Conclusion: SILA is a considerable training method for laparoscopic surgery for a surgical resident learning SILS.

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“…9 Recently, liver resection has been attempted with SILS. [10][11][12] Although the use of SILS is becoming widespread, technical difficulty has delayed its adoption for surgical cases.…”

Section: Discussionmentioning

confidence: 99%

Initial Experience with Single Incision Laparoscopic Appendectomy by Surgical Resident

Choi

2018

J Minim Invasive Surg

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“…1,2 Relative to open resection, it offers decreased length of hospital stay, less blood loss, less postoperative pain, faster recovery, better cosmesis, and lower morbidity and mortality. 3 Oncological outcomes are comparable to those of open liver resection for HCC. 2,4,5 Moreover, reduced port surgery has been attracting attention in the field of laparoscopic hepatectomy with much less surgical invasiveness.…”

Section: Introductionmentioning

confidence: 95%

Solo Reduced Port Laparoscopic Left Lateral Sectionectomy

Choi

Han

Yoon

et al. 2018

J Minim Invasive Surg

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Laparoscopic approach for left lateral sectionectomy became the standard procedure. With increasing demand for minimizing of the access ports and with the advancement in surgical technique, reduced port laparoscopic surgery is introducing itself to the fields of hepatic surgery. We report a case of solo reduced port laparoscopic left lateral sectionectomy for a 25-year-old patient with a 1.7 cm sized tumor implant of growing teratoma syndrome. She underwent salpingo-oophorectomy and 3 cycles of chemotherapy with bleomycin, etoposide and cisplatin 2 prior to the operation. Her BMI was 18.3 kg/m 2. The total operation time was 85 minutes and estimated blood loss was scanty. The patient was discharged without a significant complication on postoperative day 5. In the video, we demonstrate the surgical procedure of the solo reduced port laparoscopic left lateral sectionectomy using a laparoscopic scope holder.

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“…Hepatocellular carcinoma Current evidence suggests that local tumor recurrence, disease free survival and overall survival are similar between laparoscopic and open resections [39][40][41][42] . The results of these studies are summarized in Table 3.…”

Section: Long Term Outcomesmentioning

confidence: 99%

“…Robotic assistance is promising to aid difficult LLRs such as posterosuperior resections, non-anatomical resections along angulated or curvilinear resection planes, those requiring complex vascular and biliary reconstructions, but these need further refinement in skills and prospective validation [41] . Even single incision laparoscopic liver resection has been reported in very suitable tumors [42][43][44] . Few surgeons have reported the feasibility and safety of laparoscopic re-resections for malignant liver tumors, with a satisfactory conversion rate of 15%, although with significantly greater blood loss and operative time compared to primary LLR [45,46] .…”

Section: Advances In Llrmentioning

confidence: 99%

Laparoscopic resection of liver tumors

Golhar¹,

Nikam²,

Rao³

et al. 2019

MIS

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Laparoscopic liver resection is technically challenging compared to open liver surgery and has a steep learning curve. Tumors located in the posterior sector, centrally, in proximity of major vascular pedicles or in a background of liver cirrhosis are surgically more complex with a higher risk of blood loss. There is emerging consensus about indications for laparoscopic liver resection. While laparoscopic approach is considered standard for left lateral sectionectomy and minor laparoscopic liver resections in antero-lateral segments, with increasing experience, major resections, parenchyma sparing resections and even donor hepatectomies are being performed laparoscopically with good outcomes. Laparoscopic liver surgery is feasible and safe for well selected patients by well-trained surgeons with short-term advantages and non-inferior long-term oncologic outcomes.

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Advances in reduced port laparoscopic liver resection

Cited by 15 publications

References 29 publications

Initial Experience with Single Incision Laparoscopic Appendectomy by Surgical Resident

Initial Experience with Single Incision Laparoscopic Appendectomy by Surgical Resident

Solo Reduced Port Laparoscopic Left Lateral Sectionectomy

Laparoscopic resection of liver tumors

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